Laparoscopic Solution for Early Gastric Cancer in a Morbidly Obese Patient

被引：0
作者：
Mathieu D’Hondt
Frank Van Rooy
Dirk Devriendt
Franky Vansteenkiste
Herwig Vanhauwaert
机构：
[1] Department of Abdominal Surgery AZ Groeninge Campus St.-Niklaas,Department of Internal Medicine
[2] OLV Lourdes Hospital,undefined
来源：
Obesity Surgery | 2007年 / 17卷
关键词：
Early gastric cancer; morbid obesity; laparoscopic Roux-en-Y gastric bypass; D1 near-total gastrectomy;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
During preoperative work-up for laparoscopic gastricbypass in a morbidly obese female, gastroscopy visualizedtwo small ulcers in the antrum. Biopsies diagnosedadenocarcinoma of the diffuse type. Stagingwas performed, and endoscopic ultrasonographyshowed early gastric cancer. A laparoscopic neartotalgastrectomy with D1 resection and perigastriclymph node dissection and full omentectomy in combinationwith a gastric bypass, was peformed. Thisapproach respects the oncologic and bariatric principlesand gives a combined solution for the patient.
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页码：420 / 422
页数：2
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